| Lsk Plastic Surgery Inc | |
|
87 Scripps Dr Ste 310 Sacramento CA 95825-6318 | |
| (916) 705-2798 | |
| Not Available |
| Full Name | Lsk Plastic Surgery Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 87 Scripps Dr Ste 310, Sacramento, California |
| Authorized Official Name and Position | Liza Kim (CEO) |
| Authorized Official Contact | 9167052798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsk Plastic Surgery Inc 87 Scripps Dr Ste 310 Sacramento CA 95825-6318 Ph: () - | Lsk Plastic Surgery Inc 87 Scripps Dr Ste 310 Sacramento CA 95825-6318 Ph: (916) 705-2798 |
| NPI Number | 1174273163 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 1052781044 |
|---|---|
| Medicare Enrollment ID | O20230109001957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174273163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Liza S Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952515322 PECOS PAC ID: 6608944517 Enrollment ID: I20170718001105 |
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